Associate Director for Quality Improvement & Safety for NHS Lothian, with varied experience in both the voluntary sector and the NHS. She has worked regionally in the Cancer Network and as a planner at Board level. Her interest is in quality improvement, clinical engagement and being able to demonstrate improvements year on year from service to Board.
Her experience of improvement coaching is on a team and individual basis at all levels of the organisation and she trained as an Improvement Adviser with IHI in 2012.
Ross is the Lead for the NHS Lothian Quality Academy. Ross has a long involvement with quality and safety in healthcare. This started with the Safer Patient Initiative in 2004 and in 2009; Ross became a Scottish Patient Safety Programme Fellow. He has experience of leading quality improvement projects and has taught both locally and nationally on the subject. In his spare time he is a consultant in intensive care medicine.
Nikki is a consultant anaesthetist at the Royal Infirmary of Edinburgh where her clinical interest is in anaesthesia for emergency general and vascular surgery. She was appointed Associate Medical Director for Patient Safety in NHS Lothian in October 2011 and has been clinical lead for the Quality programs since the introduction of the Lothian Quality Management System in June 2015. Nikki completed the IHI Improvement Advisors course through HIS in 2014 and the Advanced Training Program (ATP) at Intermountain Healthcare in 2016
I am HCPC registered and I have 20 years clinical background working in Dietetics within Acute and Primary Care. Within that time I was Team Lead for a PanLothian Dietetic service providing care for patients at home receiving enteral tube feeding. My passion has always been to continually improve patient care. My QI journey started by looking at improvements which could be made within my local service and I have completed Lean in Lothian, Delivering Leadership Excellence Programme for AHPs. I carried out a 2 year project to implement Releasing Time to Care to AHP services in Lothian which implements a continuous improvement model to clinical services. I have completed Lean Green Belt in 2017 and I have also had the privilege to complete Scottish Improvement Leaders Programme (Sc IL). For the past two years I have worked within the Quality Improvement Support Team which has included the work of the Scottish Patient Safety Programme (SPSP) and supporting the Lothian Quality Academy and providing QI coaching to groups and individuals. I have recently taken on the role of QI Coaching Lead to develop and expand the QI coaching network in NHS Lothian. Quality & Safety
Dr Graham Mackenzie - FACULTY - COMMUNITY/Women & Children
Consultant in Public Health Medicine
His remit includes maternal and child health, screening and quality improvement (in work across ages and between agencies). Graham qualified from University of Edinburgh in 1995 and worked in general medicine and cardiology before training in Public Health from 2001. His most recent publication described practical work to reduce the impact of maternal and child poverty in north Edinburgh (BMJ Quality Improvement Reports 2016). He has coached several individuals and teams for the first two cohorts of the NHS Lothian Quality Academy.
Graham is active on social media, and has run “public health hour” webinars on several Public Health topics over the course of 2016. Graham is a keen musician, an advocate for active travel (particularly cycling), is married, and has three children.”
Sarah Keir - WGH Coach
I trained in Cambridge, London, Bristol and Edinburgh, was awarded an MD based around stroke medicine and became a Consultant Geriatrician and Stroke Physician in Medicine of the Elderly and Stroke Medicine in 2002. I was a Scottish Patient Safety Fellow in 2012 and on that programme met and was coached by international leaders in the field of quality improvement. I am Clinical Lead for Safety and Improvement in Medicine of the Elderly and among our achievements has been creating a culture of multidisciplinary engagement and sustained improvement at scale.
I am an out of hours GP with a keen interest in Quality Improvement. All my clinical work is out of hours for LUCS, where I am one of the Associate Clinical Directors. I am also the newly appointed Primary Care Lead for Quality and Safety in NHS Lothian, having completed the Scottish Patient Safety Fellowship Programme Fellowship in June 2016. I am the Quality Lead for LUCS, and have worked on improvement projects on home visiting and patient flow. I have spent part of my career working in Emergency Medicine and am particularly interested in the out of hours GP/Emergency Medicine interface.
I am currently a Quality Improvement Facilitator in NHS Lothian, working almost exclusively to support general practice teams. Coming from a commercial background that included engineering, design and construction, I joined NHS Scotland in 2006 in a national role supporting the roll out of the bowel cancer screening pilot. From January 2017, I will be leading a project to build a QI network in general practice in Lothian. My particular interest is in the language of improvement: how it can operate as a barrier, and what we need to know to deliver the QI message effectively.
I started my career in NHS Lothian in 2008 as a general registered nurse. In April 2014 I moved to the Quality Improvement Support team tasked with building capacity and capability for Quality Improvement, primarily within the framework of the Scottish Patient Safety Programme. On a daily basis I provide support and coaching to services within NHS Lothian. While working within the Quality Improvement Support team, I have maintained my NMC registration.
I completed the Scottish Improvement Skills Course in 2015 and then the Scottish Improvement Leadership Programme in 2017. I facilitate at the Quality Academy and now coach a variety of staff from across NHS Lothian and the wider Health and Social Care Partnerships. In 2018 I became a mentor for National Education Scotland, Scottish Improvement Leadership Programme and have taken on the role of Quality and Safety Improvement Manager for the RIE.
Penny Cartwright - Primary Care
I was a GP Partner for 14 years and moved to work for Hospital at Home as a Specialty Doctor in 2015. This is a new service that has been built over the last 3 years caring for frail elderly in their own home (or nursing/care home) as an alternative to admission. This has been a successful and valued service.
I completed the Lothian Quality Academy Course in June 2017 and was inspired to use the skills and methods I had learned to develop our rapidly evolving team and continually assess and review the service we provide.
My particular interests include communication with the primary care team, frailty, prescribing and anticipatory care planning.
Angela Dougall - COMMUNITY/Women & Children
Improvement Advisor - LCTC - 0131 536 6453
I am a graduate Midwife with a Masters degree in ‘Leadership Skills’ from Edinburgh University. Throughout my 30 year career I have worked in various roles in the Midwifery, Clinical Management and Strategic Planning in NHS Lothian. I have recent experience 2015/2016 of working in Strategic Community Working and Planning and in Edinburgh, East and Mid Lothian CCHP‘s. I am an active member of the Scottish Governments ‘Early Years Collaborative/ Raising Attainment for All’ (EYC/RAFA) and have worked on various improvement projects as a project member including ‘Healthy Start Vitamin uptake’ and ‘Income Maximisation in Pregnancy’.In 2014/2015 I was sponsored by NHS Lothian to attend the Institute for Healthcare Improvement (IHI) Improvement Advisors course and graduated as an IHI Improvement Advisor in 2015. As part of my course I attended IHI head quarters Cambridge, Massachusetts and was coached by Robert Lloyd,Vice President at the Institute for Healthcare Improvement (IHI). I am Project Lead for the NHS Lothian’s EYC sponsored project ‘Early Engagement in Pregnancy which successfully improved the numbers of women engaging with Maternity Services by 12 weeks gestation particularly in areas of deprivation SIMD 1 and 2. The numbers achieved were in excess of the NHS Lothian’s 2014/2015 HEAT target. Personally I have strong committed and belief in the utilization of Improvement Science and its tools to efficiently develop Service Provision which can reduce harmful variation and lead to the improved health and wellbeing of ourPatient/Clientusers of NHS Lothian.
I am a Consultant in General Adult Psychiatry. I worked for 3 years for NHS Fife and for the last 8 years at the Royal Edinburgh Hospital. Throughout my career I have had an interest in improving safety and quality of care for patients with mental health problems. I have been involved in the Scottish Patient Safety Programme in Mental Health since it's inception in 2012. Over the past year I have been part of cohort 8 of the Scottish Quality and Safety Fellowship programme which has allowed me to develop the skills needed to develop local projects and begin to build a strong quality improvement ethos in the teams in which I work. Having now been appointed as QI lead for the Royal Edinburgh and Associated Services I am looking forward to working with others to develop a Quality Improvement Programme for the service as a whole.
Sue Gibbs - MENTAL HEALTH
Quality and Safety Assurance Lead
Working with clinical and senior management teams across secondary, primary, community and multi-agency services. I lead in: the Lothian improvement programme for learning from and managing adverse events, improving and embedding risk management processes, such as risk registers, developing and supporting the infrastructure for QI teams in Lothian, assurance and governance processes including response to external standards and review.
I am improvement focussed, using information and experience resulting from assurance activities to identify and inform required improvements. I recently graduated from the SciL programme which enabled me to update, consolidate and confidently articulate my knowledge of improvement science which I use an improvement coach.
I have been working with NHS Lothian as a Principal Information Analyst for 1.5 years. I currently lead on Public Health, Community and IJB delegated functions with some specialist knowledge on Delayed Discharge reporting. Prior to this I worked for 2 years on antimicrobial stewardship with Healthcare Improvement Scotland and for 10 years at NHS Fife as a general information analyst. I am a maths graduate and have a doctorate in Numerical Modelling but I have forgotten most of it. I live a mile away from where I was born in Kirkcaldy.
The first day of my consultant anaesthetist career began in February 2009, and by day two I had been identified as the person to ‘bring enhanced recovery in to Orthopaedics’. Almost five years after my initial efforts I finally got the enhanced recovery protocol formally agreed in our department. I was convinced that there must be an easier way. This led me to Quality Improvement. I had done a two-day measurement course during the five years, but realised that I needed a more comprehensive set of skills to bring about and demonstrate change within the NHS. I have now graduated from the Scottish Improvement Leadership Course and am Chair of the Quality Improvement Team for Anaesthetics and Theatres at the Royal Infirmary in Edinburgh. My improvement journey has been full of highs and lows whilst all the time being a journey of personal development and learning. Finally I have the tools to enable change in my organisation. I hope, by being a coach, that I will be able to inspire others and pass on what I have learned.
Since 2007 I have worked at the Royal Infirmary of Edinburgh as a Consultant Anaesthetist. I have a sub-specialist interest in obstetric anaesthesia; I also anaesthetise for major orthopaedic, major gynaecological, and general surgery. In the anaesthetic department I have been lead for Adverse Incidents since 2011. This involves review of all adverse incidents relating to anaesthesia, organisation of M+M meetings, and sharing of learning points widely. I first became involved in QI in 2013 when I became NHS Lothian Anaesthetic Champion for MCQIC (Maternity & Children Care Quality Improvement Collaborative) for NHS Lothian. This was a national breakthrough series programme aiming to improve the multi-disciplinary care of pregnant women and their babies. Since then I have completed cohort 8 of the Scottish Quality and Safety Fellowship (2015-2016).
Katy Williams - RIE COACH
Quality Improvement Facilitator
My background is in Project Management and Dataset development. I worked in Information Services, NSS for 11 years in the Data Management Team working on various projects developing and implementing national clinical information systems and datasets. This included various skills such as project management, training, business analysis and data management. I started my role here as Quality Improvement Facilitator within the QI Support team in January 2016 covering the RIE. I work closely with clinical teams to support the delivery of the key Patient Safety essentials as set out within the Scottish Patient Safety Programme. I was offered the great opportunity to undertake the Scottish Improvement Leaders (ScIL) course which I am nearing completion and really enjoying. I am already seeing the benefits of this in my everyday job as a QI facilitator.
I am a Senior Charge Nurse in the Emergency Department of NHS Lothian. I have worked in Emergency Nursing since 1988, experiencing different roles, populations and cultures within various settings such as Manchester, Stirling and Edinburgh. My improvement work commenced with small tests of change within the ED to introduce Care Rounding. This is not normally an approach adopted in the ED due to the fast moving pace at which we deliver patient care, however, increasing demands on our ability to monitor and manage care standards required a different approach to how we cared for our patients. This initiative lead to an interest in improvement methodology and I accepted a secondment as a Project Manager for 2.5 years with the Quality Improvement team within NHS Lothian working principally on the Scottish Patient Safety work stream of Sepsis & Deteriorating patient. Whilst carrying out this role, I completed the Scottish Improvement Skills Course and have recently completed the Scottish Improvement Leadership Course. On returning to my substantive post within ED, I have been tasked with managing and delivering QI projects within the ED. This is an extraordinary change of roles for me, having been an operational SCN where time and ability to improve our service was so limited, to providing a full time Quality improvement role. It is very exciting to be able to apply all my knowledge, skills and clinical expertise to ensuring that change is methodically applied, measured and successfully managed within this department.
My clinical background is Operating Theatres. I qualified as an Operating Department Practioner in 1985 moving into Operating Theatre management in 1998. I am LEAN Black Belt Trained by GE Healthcare and accredited through Cardiff Universities Mastery Black Belt Programme and to date have run over a hundred improvement events. I have also been trained an accredited by Illumine in Creative Thinking and 6 Hats thinking. My key skills are: Change Management, Running Rapid Improvement Events (Kaizen), Running Workout Events (Small or Large Action Based Facilitation), Lean Training and Coaching, Facilitation, Application of Lean Tools and Methodology in Healthcare including: Process Mapping, Value Stream Mapping, Spaghetti Mapping, 6S (Setting up your environment to support your process, Time Value Analysis, Circle of Work
My background is in occupational therapy with experience in both the hospital and community. After 12 years I moved into change management. I was a commissioning manger for the move of the Royal Infirmary to the Little France site. Since then I have held a series of redesign and improvement roles in; human resources, cancer and critical care services, unscheduled care collaborative, 18 weeks, Modernisation Team and now the Quality Improvement Team. My experience across these roles has been enhanced by qualifications in Lean and Clinical Systems Improvement; frequently utilising improvement activities including process mapping, value stream mapping, kaizen and the model for improvement. I enjoy supporting people on their improvement journey and helping them to understand the learning and then put it into practise
I am a Quality and Safety Improvement Manager in the Quality Improvement Support Team. I qualified as a Registered Nurse in 1989, a Registered Midwife in 1991 and graduated with a BSc in Nursing in 2000 and a Postgraduate Certificate in Teaching and Learning in Higher Education in 2013. I completed the NHS Lothian certified Internal Coaching Development programme and actively coach staff within the organisation.
I have undertaken a variety of roles and projects including Health Discharge Manager, Lead Clinical Facilitator for Leading Better Care where I facilitated and promoted the implementation of the National Leading Better Care Clinical Quality Indicators within clinical settings in NHS Lothian and more recently as the Team Manager for Patient Experience. A key role has been as a transformational leader engaging and empowering Clinical Management Teams at all levels in the organisation from senior managers to frontline clinical teams to develop skills, knowledge and expertise to drive improvement.
I have been a Registered Nurse for over twenty years and a Senior Charge Nurse for over ten years. I have been seconded to the QI Dept on two occasions and during this time I completed the Improvement Science In Action course (taught by Bob Lloyd and IHI colleagues) and the Scottish Improvement Leader course. I have both led my own team in managing projects and supported external teams to implement QI projects. I also have extensive experience teaching the Model for Improvement to both small teams and large groups where I facilitate practical sessions.
Norma Dodds Lead Nurse for Excellence in Care NHS Lothian
Qualified as registered nurse in 1981 worked as a registered nurse in acute areas with a focus on Elderly Care most of my career. I was appointed to Senior Charge Nurse Role in 2003 and remained at SCN Level until 2014 when I was appointed as the Staff Bank Manager for Nursing.
I was appointed to Lead Nurse for Excellence in Care in April 2017 and undertook the Scottish Improvement Leadership Programme. Where I undertook an improvement project within a ward at the RIE
I Facilitate the Excellence in Care Programme where Quality Improvement is taught on an introduction level.
I have supported staff with improvement projects through this Programme and through the former Leading Better Care Programme.
Jennifer Evans, Quality Assurance and Improvement Manager
I have worked in various Quality Improvement roles in the Edinburgh Health and Social Care Partnership (formally Edinburgh Community Health Partnership) since 2005 and through my continual personal development in the field of Quality Improvement I was able to take up my most recent post as Quality Assurance and Improvement Manager in 2016. I lead on the development, implementation and evaluation of systems and processes using Quality Improvement methodology to improve the delivery of safe, effective, person centred care. I am passionate about Quality Improvement and have recently completed the Scottish Improvement Leaders (ScIL) programme which has allowed me to articulate my skills and support services in the partnership to deliver Quality Improvement initiatives. My vision is to embed a positive culture of quality Improvement and shared learning across the Edinburgh Health and Social Care Partnership.
Marie Gardiner - Clinical Service Manager Renal Medicine and Transplant Services
My current post is Clinical Service Manager for Transplant and Renal medicine services.
I started my NHS Career as a physiotherapist and following 25 years in clinical work I moved into workforce planning and then on to Regional planning in North of Scotland. Following completion of a MBA in Public Service management, I moved to the South East of Scotland cancer network as modernisation manager.
All of my non-clinical posts have had a service development or modernisation element to them so I was delighted when I was offered a place in cohort 5 of the Scottish Improvement Leaders programme. I completed the course in 2016 and since then I have been working to re-establish the Transplant Quality Improvement group and build a core team to support and coordinate Transplant quality improvement projects. . I am keen share my experience to support Quality Improvement coaching .
RIE office: 0131 242 3780 (23780)
Eileen Clark - Quality Improvement Nurse
I have been a nurse in the Royal Edinburgh Hospital for over 20 years. Prior to taking this post I have been a Charge Nurse for around 10 years including Senior Charge Nurse in IPCU and Meadows Female ward. Whilst working on the wards I gained a BSc from Napier University in Mental Health Practice. I have always had a keen interest in improving patient care and in improving the systems in which nurses work. I continue to be actively involved in the Scottish Patient Safety Programme and through this managed to introduce some new initiatives in my clinical area of work. The position of Quality Improvement Nurse is a new role for me and will cover the inpatient adult mental health services. I am looking forward to the challenges ahead and working with others to promote quality improvement and ultimately improve patient care.
Gregor McNeill - Coach at RIE
Gregor is currently the Clinical Lead for Critical Care Medicine at the Royal Infirmary and the Patient Deterioration Lead for NHS Lothian. His Quality Improvement experience includes completing NHS England’s Leadership in Patient Safety (LIPS) programme and more recently completing the Scottish Quality and Safety Fellowship Programme (SQSF Cohort 9). Gregor’s current QI focus includes both projects within Critical Care and also work pertaining to Ward Patient deterioration.
Jacqui Brodie - COMMUNITY HOSPITALS
My QI experience is around my role as Innovation and quality improvement nurse for Hospital Based Clinical Complex hospitals and Liberton.
I have used many tools from my education through the QI Academy within all areas to support them with improvements.
Cheryl Tudor - Occupational Therapist
I am an occupational therapist currently working as a lead change practitioner within an academic practice partnership and a project manager within a third sector organisation supporting the roll-out of service developments.
I have almost 20 years experience working in mental health and wellbeing at work (vocational rehabilitation) focused roles with a core focus on service development / improvement within the NHS, third sector and in partnership with a range of agencies. My QI journey began when I attended the Quality Academy and Delivering Leadership for Excellence courses, and continues through the roles I now fulfil and attendance at the Leading for the Future course.
I have a strong interest in improving quality of care and supporting staff wellbeing through effective leadership of change guided by the model of improvement and QI methodology. I particularly enjoy facilitating learning through coaching and training to ensure improvement initiatives are well managed and measured with the aim of delivering high quality sustainable care in line with the quadruple quality aim.
Katy Dimmock - Senior Quality Improvement Analyst
I’m a Senior Quality Improvement (QI) Analyst for Lothian Analytical Services (LAS). I’ve been an analyst for around 6 years and before that worked on projects directly for ISD – including the Scottish Birth Record and as a Web Content Editor for MCNs. I help deliver the QI programme through supporting colleagues to apply QI/analytical methodology to the QI projects they undertake. I’ve worked on various projects as a ‘Stretch’ QI analyst, including for Endoscopy, Hip Fracture and Mental Health but now focus on Cancer. I also have a Forensic Psychology MSc - although there’s not much call to use that at work! I look forward to supporting colleagues with their QI projects as much as I can.
Nickola Paul - Programme Business Manager
Nickola is currently a Programme Business Manager working in the strategic planning team in the Edinburgh Health and Social Care partnership. Her previous role was business manager in the NHS Lothian Quality directorate where she undertook the Quality Academy leadership training as well as being involved with writing the Quality Plan, setting up the infrastructure for delivering QI at scale in and undertaking a project on how we learn from feedback in NHS Lothian. Passionate about using data to inform and measure change (including patient experience data) and supporting others to learn
Prakash Shankar - Consultant Liaison Psychiatrist
Prakash is a Consultant Liaison Psychiatrist currently works at St John’s Hospital in Livingston. His interests are in managing complex conditions that straddle physical and mental illness. He is trained in a variety of therapeutic modalities including CBT, DBT and systemic psychotherapeutic approaches especially involving trauma and loss. His additional interests are in the field of governance, quality improvement and leadership. He serves on the board of directors for the national charity Cruse Bereavement care Scotland and as trustee for Common Wheel. He is an amateur runner, fitness enthusiast and a part time cyclist’.
I have been a GP partner in Lothian for 15 years, combining the daytime role with Out Of Hours (Clinical Lead for OOH NHS Borders 2016-18). I have always been motivated by improving quality, leading on a wide variety of practice improvement clinical & prescribing projects, some now also at cluster & locality level. In my OOH role I have used quality improvement methodology to drive forward new ways of multidisciplinary collaborative interface working as part of the national Transforming Urgent Care programme.
In 2017-18 I had the opportunity to train as a Scottish Improvement Leader (ScIL), and then joined the Primary Care Quality & Safety team to help support general practice teams in undertaking their own improvement work, and facilitate scale & spread to other areas.
Isla Muir - Liberton Hospital
I am an occupational therapist with a wide variety of clinical experience, most recently as Clinical Team Lead for medicine of elderly services within Liberton Hospital.
My interest in QI has grown over the years and has been strengthened through Quality Academy training and supporting local developments within the occupational therapy physical rehabilitation team. I have a strong interest in embedding quality improvement methodology and tools into everyday practice, demystifying the process and language and encouraging use of the model for improvement to promote quality, person centred care.
John Taylor - WGH
I've been a consultant radiologist for 10 years, the last 4 of which I've spent at the Western General, Edinburgh.
In 2017-18 I completed the Royal College of Radiologists Leadership for Improvement Programme
Last year I was given the chance to take on the lead of the NHS Lothian Radiology QI Team. This encompasses a team of anything up to 20 core members, working across all primary and secondary care imaging sites. However, I believe that QI should be embedded in the working practices of us all, and it is my ambition to spread my team's enthusiasm for improving quality to encompass the whole of NHSL Radiology, every day. I have seen how making changes for the better is a challenging but immensely rewarding endeavour for patients and staff alike and I look forward to helping you achieve your QI goals too.